Emergency Medicine Final "Quick Hitters" Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
what should you always obtain if someone is hyper-
EKG
kalemic?
is sodium is less than 115-120, what can occur in a pt? seizures (due to brain edema)
what is the treatment for a pt who is seizing, obtunded or
hypertonic saline (corrects sodium)
altered, with hyponatremia?
central pontine myelinolysis (permanent neurological
what is the risk of correcting sodium too quickly?
damage)
what is the big worry with hyperkalemia? cardiac arrhythmias and asystole
pt presents with N/V, weakness, and sudden arrhythmias.
hyperkalemia
what electrolyte abnormality is most likely?
big EKG finding with hyperkalemia? peaked T waves
first line treatment for hyperkalemia calcium
t/f: calcium helps decrease potassium levels false; stabilizes cardiac cells
glucose and insulin
if calcium is not helping with a hyperkalemic pt, what are
b agonist (albuterol)
some other options?
bicarb
what are the EKG findings for HYPOkelemia? shallow T waves and prominent U waves
potassium (either IV via potassium chloride or oral; de-
tx for hypokalemia
pends on severity)
when administering potassium to a pt, in what manner
SLOWLY! it burns
must you make sure its administered?
what other electrolyte replacement could you consider
magnesium
administering in a pt with hypokalemia?
moans, bones, groans, stones psychiatric overtones, you
hypercalcemia
say?
EKG findings for hypercalcemia J wave (osborne waves)
, Emergency Medicine Final "Quick Hitters" Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
what are two things that must be started immediately with
fluids and ABX
a pt that presents with sepsis in the ER?
if the septic pt is not responding adequately to fluids, what
first line - "levophed" (norepinephrine)
is another option to consider?
supportive care
tx options for opioid withdrawal clonidine
substitute with methadone or buprinorphine
t/f: opioid withdrawal is life threatening false
- respiratory depression
what is the classic triad of signs for opioid overdose? - CNS depression
- miosis
treatment of choice for opioid overdose narcan
titrated to restoration of adequate respiration as well as,
how should narcan be administered for opioid overdose?
to prevent acute anger syndrome
t/f: exposure to novel synthetic opiods may require higher
true
than usual doses of narcan
syndrome of severe cyclic vomiting and refractory colicky
abdominal pain that can develop with chronic marijuana
cannabinoid hyperemesis syndrome (CHS)
use; repeated severe retching and generalized abdominal
pain
stop marijuana usage
treatment for CHS fluid resuscitation
hot showers may help relieve sxs
tachycardic
what symptoms would you expect with sympathomimetic high BP
drugs? dilated pupils
diaphoretic
, Emergency Medicine Final "Quick Hitters" Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
tachypnea
increase bowel sounds
treatment for sympathomimetic overdose? ativan (really any benzo though)
pt presents with tremors and is very confused. they have
a fast HR, hyperreflexic, and hyperthermic. in their med
serotonin syndrome
history they are currently on a high dose of escitalopram
for their suicidal ideations. what do you suspect?
ativan IV
treatment for serotonin syndrome cool patient + supportive care
cyproheptadine (blocks 5-HT production)
treatment for tyenol overdose n-acetylcystine
alpha2-adrenergic agonist that inhibits NT release of both
dopamine and norepi resulting in depression of the CNS; xylazine
approved for use in veterinarian medicine
what occurs with repeated xylazine injections? necrotic ulcerations
t/f: there is an antidote for xylazine false
why is xylazine being used out on the streets more, with
potentiates the ettects of other drugs of abuse
other common opioids?
ABCs
what is involved in the management of acute alcohol in- thiamine IV
toxication? IV hydration
supportive care
a chronic alcohol users presents to the ER with anxiety,
tremors, tachycardia, and N/V. his wife claims he was try- alcohol withdrawal
ing to quite drinking "cold turkey. " what do you suspect?
with most alcohol withdrawal pts, what med class are you
benzodiazepines
typically administering?
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
what should you always obtain if someone is hyper-
EKG
kalemic?
is sodium is less than 115-120, what can occur in a pt? seizures (due to brain edema)
what is the treatment for a pt who is seizing, obtunded or
hypertonic saline (corrects sodium)
altered, with hyponatremia?
central pontine myelinolysis (permanent neurological
what is the risk of correcting sodium too quickly?
damage)
what is the big worry with hyperkalemia? cardiac arrhythmias and asystole
pt presents with N/V, weakness, and sudden arrhythmias.
hyperkalemia
what electrolyte abnormality is most likely?
big EKG finding with hyperkalemia? peaked T waves
first line treatment for hyperkalemia calcium
t/f: calcium helps decrease potassium levels false; stabilizes cardiac cells
glucose and insulin
if calcium is not helping with a hyperkalemic pt, what are
b agonist (albuterol)
some other options?
bicarb
what are the EKG findings for HYPOkelemia? shallow T waves and prominent U waves
potassium (either IV via potassium chloride or oral; de-
tx for hypokalemia
pends on severity)
when administering potassium to a pt, in what manner
SLOWLY! it burns
must you make sure its administered?
what other electrolyte replacement could you consider
magnesium
administering in a pt with hypokalemia?
moans, bones, groans, stones psychiatric overtones, you
hypercalcemia
say?
EKG findings for hypercalcemia J wave (osborne waves)
, Emergency Medicine Final "Quick Hitters" Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
what are two things that must be started immediately with
fluids and ABX
a pt that presents with sepsis in the ER?
if the septic pt is not responding adequately to fluids, what
first line - "levophed" (norepinephrine)
is another option to consider?
supportive care
tx options for opioid withdrawal clonidine
substitute with methadone or buprinorphine
t/f: opioid withdrawal is life threatening false
- respiratory depression
what is the classic triad of signs for opioid overdose? - CNS depression
- miosis
treatment of choice for opioid overdose narcan
titrated to restoration of adequate respiration as well as,
how should narcan be administered for opioid overdose?
to prevent acute anger syndrome
t/f: exposure to novel synthetic opiods may require higher
true
than usual doses of narcan
syndrome of severe cyclic vomiting and refractory colicky
abdominal pain that can develop with chronic marijuana
cannabinoid hyperemesis syndrome (CHS)
use; repeated severe retching and generalized abdominal
pain
stop marijuana usage
treatment for CHS fluid resuscitation
hot showers may help relieve sxs
tachycardic
what symptoms would you expect with sympathomimetic high BP
drugs? dilated pupils
diaphoretic
, Emergency Medicine Final "Quick Hitters" Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
tachypnea
increase bowel sounds
treatment for sympathomimetic overdose? ativan (really any benzo though)
pt presents with tremors and is very confused. they have
a fast HR, hyperreflexic, and hyperthermic. in their med
serotonin syndrome
history they are currently on a high dose of escitalopram
for their suicidal ideations. what do you suspect?
ativan IV
treatment for serotonin syndrome cool patient + supportive care
cyproheptadine (blocks 5-HT production)
treatment for tyenol overdose n-acetylcystine
alpha2-adrenergic agonist that inhibits NT release of both
dopamine and norepi resulting in depression of the CNS; xylazine
approved for use in veterinarian medicine
what occurs with repeated xylazine injections? necrotic ulcerations
t/f: there is an antidote for xylazine false
why is xylazine being used out on the streets more, with
potentiates the ettects of other drugs of abuse
other common opioids?
ABCs
what is involved in the management of acute alcohol in- thiamine IV
toxication? IV hydration
supportive care
a chronic alcohol users presents to the ER with anxiety,
tremors, tachycardia, and N/V. his wife claims he was try- alcohol withdrawal
ing to quite drinking "cold turkey. " what do you suspect?
with most alcohol withdrawal pts, what med class are you
benzodiazepines
typically administering?
